Enrollment Specialist III

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

The Enrollment Specialist III is responsible for the enrollment of Claims Management and Claims Management Pro clients for electronic claim, ERA, and eligibility transactions.

• Works the enrollments setup inbox, processing approval and rejection emails from the payers, processing EDI and ERA enrollment forms at the provider or colleague request and processing EDI and ERA forms when there are no payer agreements to generate.
• Works directly with the Implementation Supervisor to identify customer enrollment issues and improve the enrollment process.
• Answers incoming customer calls regarding Salesforce cases, status checks, missing ERA’s, processing of the Enrollment forms and general enrollment questions.
• Generate .pdf documents where applicable.
• Works the Aggregator Setup Inbox by processing any enrollments that come in and researching missing electronic remittances.
• Provide assistance to Enrollment Representatives with internal questions and training on day-to-day operations.
• Prepares and sends all spreadsheets for enrollment of electronic remittances to all appropriate recipients.
• Other duties assigned by the Implementation team supervisor.
• Maintain compliance with Inovalon’s policies, procedures and mission statement.
• Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
• Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.

• 2-4 years of experience in call center or related experience.
• Healthcare EDI Knowledge preferred.
• Knowledge of Insurance Payer Forms and Insurance Billing preferred.
• Proficient in use of Microsoft Office suite (MS Word, MS Excel, MS Outlook and PowerPoint).
• Proficient in working with Adobe Reader.
• Proficient in working with CRM systems (Salesforce Preferred).
• Experience in working with Operating Systems such as Linux and Windows.
• Excellent verbal and written customer service skillset.
• Self-motivated with strong organizational/prioritization skills and ability to multi-task with close attention to detail.
• Ability to work efficiently in a fast–paced environment.
• Ability to work independently, assisting others as needed.
• A strong team player with the ability to interact effectively with all parts of the organization.

• High School diploma or G.E.D. required
• Associate's degree preferred

• Sedentary work ( i.e. sitting for long periods of time).
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force.
• Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions.
• Subject to inside environmental conditions.
• Travel for this position will include less than 5% locally usually for training purposes.

In addition to the base compensation, this position may be eligible for performance-based incentives. The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and…